title: Can posterior dynamic stabilization reduce the risk of adjacent segment deterioration?
abstract: OBJECTIVE
  The aim of this study was to systematically review the relevant literature to develop a benchmark for the incidence of adjacent segment degeneration (ASDeg) and adjacent segment disease (ASDis) following the posterior dynamic stabilization (PDS) procedure and to investigate whether conclusions can be made with regard to the isolated PDS procedure in reducing the risk of ASDeg and ASDis compared with fusion, and with regard to the role of additional PDS devices implanted adjacent to fusion in protecting from ASDeg and ASDis caused by the neighboring fusion.
  
  
  METHODS
  We retrieved electronic databases of Medline, Ovid and Cochrane Central Registry of Controlled Trials, combined with a supplemental hand search. Thirty-one articles met our inclusion criteria.
  
  
  RESULTS
  The pooled incidence of ASDeg and ASDis following PDS procedure was 16.4% and 5.5% respectively. Data from comparative studies showed a significantly lower incidence of ASDeg and nonsignificantly lower incidence of ASDis following PDS than following fusion surgery. Further, the additional PDS devices implanted adjacent to fusion could significantly reduce the risk of ASDeg and nonsignificantly decrease that of ASDis caused by fusion.
  
  
  CONCLUSIONS
  These results suggested relative success of the PDS procedure in protecting against ASDeg and ASDis.
authors.affiliation: Sir Run Run Shaw Hospital, Medicine College of Zhejiang University, Department of Orthopaedic Surgery, Hangzhou, China.
authors.forename: Zhi-Jie
authors.initials: ZJ
authors.lastname: Zhou
authors.forename: Ping
authors.initials: P
authors.lastname: Xia
authors.forename: Xing
authors.initials: X
authors.lastname: Zhao
authors.forename: Xiang-Qian
authors.initials: XQ
authors.lastname: Fang
authors.forename: Feng-Dong
authors.initials: FD
authors.lastname: Zhao
authors.forename: Shun-Wu
authors.initials: SW
authors.lastname: Fan
mesh_terms: D000328:Adult; D000368:Aged; D003627:Data Interpretation, Statistical; D005260:Female; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000379:methods*; D006801:Humans; D055959:Intervertebral Disc Degeneration; D017116:Low Back Pain / Q000209:etiology / Q000601:surgery; D008159:Lumbar Vertebrae / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009038:Motion; D011446:Prospective Studies; D012189:Retrospective Studies; D013123:Spinal Fusion; D013131:Spine / Q000601:surgery*; D013314:Stress, Mechanical